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TD 9166, Health plans imposing pre-existing condition notification requirements
TD 9166 - Final Regulations for Health Coverage Portability for Group Health Plans and Group Health insurance Issuers under HIPAA Titles I & IV
OMB: 1545-1537
IC ID: 18644
OMB.report
TREAS/IRS
OMB 1545-1537
ICR 201401-1545-009
IC 18644
( )
Documents and Forms
Document Name
Document Type
TD 9166.pdf
TD 9166
IC Document
TD 9491.pdf
TD 9491
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TD 9166, Health plans imposing pre-existing condition notification requirements
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 602
26 CFR 54
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,700,000
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,700,000
0
0
0
0
2,700,000
Annual IC Time Burden (Hours)
2,289
0
0
0
0
2,289
Annual IC Cost Burden (Dollars)
272,000
0
0
0
0
272,000
Documents for IC
Title
Document
Date Uploaded
TD 9166
TD 9166.pdf
01/13/2014
TD 9491
TD 9491.pdf
01/13/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.